TIMOTHY G CORNITIUS (MD) – Dermatology Physician, NPI 1679554133
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 DERMATOLOGY in KS
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Provider Addresses for TIMOTHY G CORNITIUS (MD)
Dodge City Medical Center, 2020, Central Avenue, Dodge City, Ford County, Kansas, 67801, United States
DODGE CITY, KS 678011000
Phone: (620) 227-1371
Fax: (620) 227-1208
Type: Location
1861 N ROCK RD STE 310
WICHITA, KS 672061264
Phone: (316) 612-1833
Fax: (316) 612-2420
Type: Mailing
9300 E 29TH ST N STE 310
WICHITA, KS 672262160
Phone: (316) 612-1833
Fax: (316) 612-2420
Type: Mailing
2300 N 14TH AVE STE 104
DODGE CITY, KS 678012367
Phone: (620) 225-8865
Fax: (620) 225-8866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $427.
Total Amount is formed as General ($427) + Research ($0) + Ownership ($0) = $427.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($155).
Total Amount
$427
General + Research + Ownership
Payments
24
Total payment records
General Amount
$427
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $155 |
| Amgen Inc. | $109 |
| Janssen Biotech, Inc. | $47 |
| Novartis Pharmaceuticals Corporation | $36 |
| Lilly USA, LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050511000906 | I | Dermatology | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 721 | 482 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 593 | 175 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 392 | 275 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 165 | 20 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 154 | 139 | $0 |
Insurance plans in this area (ZIP 67801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | KS | 17003 | Destruction of 2-14 skin growths | 1957 | 442 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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